Hopke Kaitlin P, Sargent Sandra J
Pittsburgh Veterinary Dermatology, Pittsburgh, PA, USA.
JFMS Open Rep. 2019 Dec 16;5(2):2055116919891548. doi: 10.1177/2055116919891548. eCollection 2019 Jul-Dec.
A 9-year-old neutered male domestic shorthair cat was presented for multiple deep lesions on all four limbs and a nodule on the right pinna. The limb lesions ranged from nodules with necrotic surfaces to full-thickness ulcerations with exposure of muscles and tendons. The cat lived indoors only in a single-pet household and had no prior history of trauma. The owner reported that the lesions appeared abruptly and that the cat was not apparently painful or pruritic. Histopathology of the limb lesions and pinnal nodule confirmed severe lesions of the eosinophilic granuloma complex. Resolution of lesions was achieved with a combination of antibiotics, prednisolone, topical therapies, diet change and ciclosporin.
This case report demonstrates a severe, aggressive presentation of eosinophilic granuloma complex. It will expose practitioners to atypical clinical signs of this commonly diagnosed disease.
一只9岁已绝育的雄性家养短毛猫因四肢多处深部病变及右耳廓有一结节前来就诊。四肢病变范围从表面坏死的结节到肌肉和肌腱外露的全层溃疡。这只猫仅生活在室内单宠物家庭,既往无外伤史。主人报告称病变突然出现,且猫无明显疼痛或瘙痒。四肢病变和耳廓结节的组织病理学检查证实为嗜酸性肉芽肿复合体的严重病变。通过联合使用抗生素、泼尼松龙、局部治疗、改变饮食和环孢素,病变得以消退。
本病例报告展示了嗜酸性肉芽肿复合体的一种严重、侵袭性表现。它将使从业者了解这种常见疾病的非典型临床症状。